USE OF ISONIAZID PROPHYLAXIS THERAPY IN HIV CLIENTS: CHALLENGES AND PROSPECTS

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USE OF ISONIAZID PROPHYLAXIS THERAPY IN HIV CLIENTS: CHALLENGES AND PROSPECTS

ABSTRACT

The Human Immunodeficiency virus / Acquired immune-deficiency syndrome (HIV/AIDs) is a very serious disease and pandemic. There have been series of interventions to combat the disease and these include, Prevention of mother to child transmission, HIV counseling and testing, treatment of HIV/AIDs with antiretroviral drugs and the three I’s which include Intensive case search, Infection control and Isoniazid preventive therapy (IPT). There appears to be paucity of information on the IPT in our environment and it is therefore necessary to find out how the IPT has been implemented in this part of the world. Objective: to determine the number of Cases of HIV placed on IPT. Methodology: This is a cross sectional study in which the HIV patients who were placed on the IPT were identified and followed up. Adherence was measured by self-report of INH tablets taken for past 3, 7 and 30 days. In depth interview was also conducted on recruited patients and health professionals. The situational analysis was carried out to identify those already placed on IPT. The next stage was training of the doctors on IPT and informing them on the importance of IPT in the management of HIV patients. Data tools were provided. A focal person was selected to fill these data tools to be able to get accurate number of HIV patients on IPT. Data was analyzed with Microsoft Excel and Epi. Info. Results: The total number of new cases of HIV seen from July to September 2013 was 218, of which (30% N=65) was started on IPT. Of the 65 that started the IPT only (63%, N=41) continued the second month. The number of suspected TB were (2.3% N=5). The number of cases of TB- Co infection (0.4% N=1). Conclusion: The IPT is being utilized in this health facility for prevention of TB in HIV/AIDs although at a low rate, however the creation of more awareness among Doctors and Patients and proper documentation, will further improve the uptake of IPT.

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